| NPI | 1710925474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LIVELY Executive Director 540-741-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101239833) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-02-20 |